• Title/Summary/Keyword: Public health officials

Search Result 120, Processing Time 0.021 seconds

Accuracy of the Registered Cause of Death in a County and its Related Factors (일개 군 사망신고자료에 기재된 사인의 정확성과 관련요인)

  • Shin, Hee-Young;Shin, Jun-Ho;Nam, Hae-Sung;Ryu, So-Yeon;Im, Jeong-Soo;Rhee, Jung-Ae;Chung, Eun-Kyung
    • Journal of Preventive Medicine and Public Health
    • /
    • v.35 no.2
    • /
    • pp.153-159
    • /
    • 2002
  • Objectives : To evaluate the accuracy of the registered cause of death in a county and its related factors. Methods : The data used in this study was based on 504 cases, in a county of Chonnam province, registered between January and December 1998. Study subjects consisted of 388 of the 504 cases, and their causes of death were established by an interview survey of the next of kin or neighbor and medical record surveys. We compared the registered cause of death with the confirmed cause of death, determined by surveys and medical records, and evaluated the factors associated with the accuracy of the registered cause of death. Results : 62.6% of the deaths were concordant with 19 Chapters classification of cause of death. external causes of mortality, endocrine, nutritional and metabolic diseases, neoplasms and diseases of the circulatory system showed the good agreement between the registered cause of death and the confirmed cause of death. The factors relating to the accuracy of the registered cause of death were the doctors' diagnosis for the cause of death (adjusted Odds Ratio: 2.67, 95% Confidence Interval: 1.21-5.89) and the grade of the public officials in charge of the death registry (adjusted Odds Ratio: 0.30, 95% CI=0.12-0.78). Conclusions : The accuracy of the registered cause of death was not high. It could be improved by using the doctors' diagnosis for death and improving the job specification for public officials who deal with death registration.

A Convergence Study on the Decision and Attitude of Korean "life-prolonging medical care" according to whether or not religion (종교유무에 따른 한국인의 '연명의료' 결정과 태도에 관한 융합연구)

  • Hwang, Hye-Jeong;Kim, Kwang-Hwan
    • Journal of Digital Convergence
    • /
    • v.15 no.8
    • /
    • pp.257-265
    • /
    • 2017
  • The purpose of this study was to investigate the degree of awareness of the concept of 'hospice palliative medical care' and decision of 'life-prolonging medical care' by the general public subjects. A survey was conducted on 346 participants and officials who participated in an event held in September 2016. As a result of the research, the subjects' responses results to the life-prolonging medical care decision showed that people with religion wanted natural death compared to people without religion, and had more active attitude toward decisions related to dignity death. Religion is an important factor that can influence perceptions of life and death, believing that afterlife is after death, so it is possible to take a more firm stance on the extension of meaningless life at the last minute. Therefore, in order to stabilize the hospice care and prescription medical decision law to the general public and to improve the quality of the death and the dignity of life, it is necessary to develop awareness through various educational programs in consideration of age, education level. In addition, education and promotion should be strengthened so that the general public can fully understand the knowledge of hospice palliative care and health care and government standardization and policies for hospice personnel and breeding programs will be urgent.

The Effect of Organizational Justice on the Followership and Organizational Citizenship Behavior - the Moderating Effect of Leader-Member Exchange - (의료기관 사무직 종사자의 조직공정성이 Followership과 조직시민행동에 미치는 영향 - LMX 조절효과 -)

  • Ahn, Jae-Sun;Kim, Jong-Doo;Kim, Moon-Jung
    • Korea Journal of Hospital Management
    • /
    • v.23 no.2
    • /
    • pp.1-17
    • /
    • 2018
  • Purposes: Based on samples of government officials who are working at public health centers, following research examines the Effect of Organizational Justice on the relationships between Followership and Organizational Citizenship Behavior and analyzes the moderating effect of Leader-Member Exchange. Methodology: For the methods, Sphericity verification, Exploratory factor analysis, Correlation analysis, Causal relation, Mediating effect of followership and Moderating Effect of The Leader-Member Exchange have been analyzed with SPSS 22.0 & AMOS 22.0 Ver. Findings: As a result of Correlation analysis, Predictive validity and Construct validity have meaningful effect. Also, In case of Path analysis, distributive justice and interactional justice have meaningful effect but procedural justice has no such effect on Followership. As a result of Mediated effect of followership analysis, distributive and interactional justice have positive impact on (Organizational and Interpersonal). As to the mediation effect of followership analysis, It is shown that distributive and Followership have meaningful effect on In-group, not Out-group. Lastly, It is shown that procedural justice and Followership have no meaningful effect on both In-group and Out-group. Practical Implications: For the implications, distributive justice and interactional justice have positive impact on Followership, while procedural justice has no such impact on Followership. Also, It also possibly has same result to the moderating effect of Leader-Member Exchange. Consequently, It is recognized that a fair process without a fair result cannot be valued. also, We can know that reward for procedural justice is evaluated to kind of negative.

Contamination Sources of Several Potentially Hazardous Compounds Found at the Gap Stream and the Miho Stream, Two Major Tributaries of the Geum River (금강 수계 주요지류인 갑천과 미호천에서 잠정유해물질 오염원 확인 연구)

  • Lee, Jun-Bae;Lee, Jay-Jung;Cho, Yoon-Hae;Yoon, Jo-Hee;Hong, Seoun-Hwa;Lee, Dae-Hee;Lee, Dae-Hee;Cho, Young-Hwan;Shin, Ho-Sang
    • Korean Journal of Environmental Agriculture
    • /
    • v.35 no.1
    • /
    • pp.15-23
    • /
    • 2016
  • BACKGROUND: Water quality is of concern to water utility operators, public health officials, and populations using the water. If any contaminant is released from a point of entry, it could be spread rapidly throughout the water stream. So the identification of the location of the points of entry and its release history are critical informations to establish the management strategy.METHODS AND RESULTS: Aniline, nonylphenol, pentachlorophenol and formaldehyde in 39 surface water samples were analysed using Gas chromatography-mass spectrometry (GC-MS) methods. Formaldehyde, aniline and nonylphenol were mainly detected in the near sites where industrial waste water and domestic sewage were discharged into stream. But pentachlorophenol was detected in the downstream samples where pulp manufacturing plants were operated.CONCLUSION: Results indicate that pentachlorophenol found in main stream of Guem river was mainly introduced from pulp manufacture industries. Otherwise, formaldehyde, aniline and nonylphenol were mainly contaminated from the industrial waste water and domestic sewage.

The Korean Government's Migration Policy on HIV/AIDS - Comparing with Migrant-Receiving and Migrant-Sending Countries in East Asia - (HIV/AIDS에 대한 한국정부의 이주정책 -동아시아의 이주민 도입국과 이주민 송출국과의 비교-)

  • Lee, Jungwhan;Lee, Sungyong
    • International Area Studies Review
    • /
    • v.13 no.1
    • /
    • pp.17-38
    • /
    • 2009
  • The purpose of this study is to identify the Korean government's policies and responses to migrants with HIV/AIDS and their legal grounds, and to examine the effectiveness of the HIV/AIDS laws and regulations in preventing the spread of HIV/AIDS. For the purpose, this study have conducted an extensive literature review and in-depth interviews with relevant government officials, experts and NGO leaders in East Asian countries including Japan, Taiwan, Hong Kong, China and Mongolia. The results show that Korea maintains the strictest policies and implements strong rules and regulations against migrants with HIV, keeping them from entering and staying in the country by any means. Regarding the results, this study discusses issues and problems raised by the Korean government's HIV/AIDS policy for migrants in terms of public health and human rights.

The Excluded from Public Pension : Problem, Cause and Policy Measures (공적연금의 사각지대 : 실태, 원인과 정책방안)

  • Seok, Jae-Eun
    • Korean Journal of Social Welfare
    • /
    • v.53
    • /
    • pp.285-310
    • /
    • 2003
  • As National Pension Scheme for all nation complete in 1999 through expanding application in cities, the public pension including Public Occupational Pension became main axis of old-age income maintenance. After 4years since then, now, it is only half of total National Pension insured persons who have been qualified to receive pension through participate and contribution. The other half of National Pension insured is left the excluded from public pension. This paper is intended to identify scale and characteristics of the excluded from public pension and to analysis its cause, and to explore policy measures for solving the excluded's problem. for current recipients over 60 years old generation, the its excluded's scale is no less than 86% of the old over 60 years. The probability of getting in the excluded is high in case of old elderly and female for current elderly generation. For future recipients 18-59 years working generation, the its excluded's scale is no less than 61% of the 18-59 years total population. The probability of getting in the excluded is high in case of 18-29 years and female for current working generation. As logistic regression analysis determinant factor of paying or not pension contribution for future recipients, it appear that probability of getting in the excluded for current working generation is high in case of younger old, lower education attainment, irregular employee, working at agriculture forestry fishery sector, construction sector, wholesale retail trade restaurants hotels sector, financial institution and insurance real estate renting and leasing sector in comparison with manufacturing sector, occpaying at elementary occupation, professionals technicians and associate professionals, sale and service workers, plant machine operators and assemblers, legislators senior officials and managers in comparison with clerks. The Policy measures for the current recipient old generation have need to reinforce supplemental role of Senior's pension(non-contribution pension) until maturing of public pension, because of no having chance of public pension participants for them. And the Policy measures for the future recipient working generation have need to restructure social security fundamentally corresponding with social-economic change as labour market and family structure etc. The pension system has need to change from one earner one pension to one citizen one pension with citizenship rights. At this point, public pension have need to manage with combining insurance's contribution principle and citizenship principle financing by taxes. Then public pension will become substantially universal social network for old-age income maintenance and we can find real solution for the excluded from.

  • PDF

The Diffusion of Rumor Via Twitter : The Diffusion Trend and the User Interactivity in the Korea-U.S. FTA Case (트위터를 통한 루머의 확산 과정 연구: 한미 FTA 관련 루머의 자극성에 따른 의견 확산 추이와 이용자의 상호작용성을 중심으로)

  • Hong, Ju-Hyun;Yun, Hae-Jin
    • Korean journal of communication and information
    • /
    • v.66
    • /
    • pp.59-86
    • /
    • 2014
  • This study explored how rumor is diffused via Twitter and how the characteristics of rumor affect the interactivity among users in the Korea-U.S. FTA case. A key word search located three issues as major ones related to the Korea-U.S. FTA: appendectomy myth, collapse of health insurance, and increases in medicine prices. The arousal of rumor has two dimensions: fact and expression. The fact arousal was the highest in the issue of 'appendectomy myth', and the expression arousal the highest in 'increases in medicine prices'. The rumor diffusion took the 'explosive wave' in the issue of appendectomy myth, the 'latent wave' in the issue of increase in medicine prices, and the 'repetitive wave' in the issue of collapse of health insurance. Correlation analyses revealed a high correlation between the arousal intensity of rumor and the user interactivity in the issue of collapse of health insurance. The study showed that Twitter took a role of diffusing negative messages about the Korea-U.S. FTA. Results implies that government officials and journalists pay attention to Twitter for sensing the public opinion when building policies and managing crises.

  • PDF

호스피스 전달체계 모형

  • Choe, Hwa-Suk
    • Korean Journal of Hospice Care
    • /
    • v.1 no.1
    • /
    • pp.46-69
    • /
    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

  • PDF

A Policy Implementation Analysis on the Care Voucher for the Aged -Focusing on Choice and Competition- (노인돌보미바우처 정책집행분석 -선택과 경쟁은 실현되는가?-)

  • Yang, Nan-Joo
    • Korean Journal of Social Welfare
    • /
    • v.61 no.3
    • /
    • pp.77-101
    • /
    • 2009
  • As a case study in the field of policy implementation research, this study focuses on how the logic of consumer choice and provider competition operates on the front line of policy processing. To find the implementation process of the program, 39 interview data were analyzed, including voucher users, care workers, social workers in 4 agencies and local public officers in one of the district in Seoul, and relevant officials from the Ministry for Health, Welfare and Family affairs and the Center for Social Service Management. The main results are as follows: In the level of policy implementation, user choice and competition, which was the main logic behind the implementation of the voucher program, did not occur as expected by policy makers. Instead of user choosing his/her provider, it was found that the providers were choosing its users. Secondly, the case study found that providers have formed a caucus which allocated the local users equally amongst the providers. In this process, local public officers have supported the meeting by providing them with a list of users. Such results may be interpreted as a habitual execution from the tradition of supply-side subsidy, rather than the way of implementation in the market system. Thirdly, although voucher users could not choose their preferred agency in the first stage of service, some other choices exists so that users may choose their preferred care-giver and time for service. Finally, the change of agency and care-giver in the way of delivering services were observed.

  • PDF

The Effect of Innovation-oriented Organizational Culture on Job Engagement and Job Stress: Focusing on Moderating Effect of Self-efficacy

  • BAEK, Yoon-Ju;LIM, Yun-A;LEE, Jae-Chang
    • The Journal of Industrial Distribution & Business
    • /
    • v.11 no.6
    • /
    • pp.29-39
    • /
    • 2020
  • Purpose: The purpose of this study is, in the situation where rapid response to the rapidly changing environment is required due to the development of the fourth industrial revolution such as artificial intelligence, virtual reality, and the internet of things, robotics, big data, additive manufacturing, bio-health, sharing economy and in the organizational culture aspiring toward the innovation of a major company, small business and a public institution, to analyze what influence a job-engagement and stress make, and what influence individual's self-efficacy as a moderator mediator makes, and to offer basic data for improving job-engagement and lowering job-stress. Research design, data, and methodology: For doing this, the literature and the empirical studies were combined. Deriving innovation-oriented organizational culture as factors affecting the job engagement and job stress through the literature, and have established hypotheses to verify them. We have collected data of 281 from ex,ecutives and staff-members working in areas including major company, small business and officials (the central government, a local public service, the prosecution, the police, and school). And these data were analyzed by SPSS 23 version. Results: Based on these data, the results of analysis were as follows; First, the innovation-oriented organizational culture which was recognized by organizational members had effect on job-stress. Second, the innovation-oriented organizational culture which was recognized by organizational members influenced job-stress. Third, in the relationship between the innovation-oriented organizational culture and job-engagement, self-efficacy did not influenced job-engagement. Finally, in the relationship between the innovation-oriented organizational culture and job-stress, self-efficacy influenced job-stress. Conclusions: Innovation-oriented organizational culture places importance on the organization's adaptability and flexibility in the external environment, so companies need to establish an innovation-oriented organizational culture favorable to achieving survival and successful innovation, and to develop and disseminate programs of positive and continuous organizations to improve task enthusiasm, reduce task stress, and enhance organizational performance. In the future, it will be necessary to verify the effectiveness of various organizational culture types through comparative analysis with companies that actively maintain an innovation-oriented organizational culture (Google, Kakao, etc.) and companies that prefer hierarchy-oriented organizational culture, relationship-oriented organizational culture, and market-oriented organizational culture.